Laserfiche WebLink
s•�3-7ao-oo2o Gi��y o�'��pnyrnn�s ��c:rl►���r�����������v„ • <br /> Building Dopartment <br /> Dato R000ived �•� /Q /. Phono Conia�lior f�ermitting ��3 7� _�__`r / -- - --i-ri-ri-i-i-�-ri-r <br /> � `-� ` v ` � �-���-��••;�rri;-�-;-r�a-ri-�;-•ri-�-r-I-hl-H-hM ------- -I-I-t-t- - --- <br />-�-riy-�-rrrrrrrrrr� � �I,3-�/'`���l� ' <br /> ,/���, L, Owner Phone Number <br /> ownor's Name �C`� n'"y`,' � • ' <br /> 3��a� iYI�/��'—l.�y.��E �G2 Owner Phone Num�or <br /> Owner's A�dross /'� ' <br /> Owner Phono NurriUer <br /> feo 9implo Titloholc[or Name , � <br /> roe 8lmple TiCloholcler Arldross , • <br /> • ' � t�or�f /,i``3• <br /> JOI3 ADDRESS �'7 � . ' ' <br /> � ��Ce /Zd�.1'��'- nAr�ce�.intt d3-o2� -d�•a1'7�- QG��/S3U <br /> 5U131]IVISION � • ��- • (013TAINGD fROM PROPERTYTAXNO'fICG) <br />' ��C � ADDIALT Q SIGN Q MOVG 0 DCMOLISI-I . <br /> WORI�C PROPDSCD ' � NEW CONSTR � �C�A'� <br /> INSTALL • <br /> PROPOSL-D U5C' ' • �] S1=R ' ��• GOMM Q . OTI-IER <br /> 13LOC1� [� ' 1=RAMC .0 S�G��- 0 OThIER <br /> TYPG OP CONSTRUCTIQN � . <br /> DCSCRIPTIOM OP WORK ' � ' �"'"' �� . . , <br /> �� �� SQ�OOTAGC I-1CIGI-IT <br /> pUILD1NG SIZC �� , . . <br /> � RUILDING J> 3 �0�� VALUATION OrTOTAL CON5T13UCTION . , <br /> AMf'SCRVICE 0 PROGRGSS GNERGY • � W.R•E.C. <br /> Q ELCCTRICAL .� . . ' • • <br /> ��] PLUMBWG :C � . P.ASCO PERMl7SERVIGE <br /> . . (813)788-5�1� <br /> 0 MCCI-IANICAL :G ; � VqLUATION 01=MCC(-IANICAL INSTALLATION .�� �_�,���� .�8� <br /> � GAS [� R001=1NG �] SPCCIALTY [� OTI-IGR , �j �Z <br /> [�YCS QNO �' " �� <br /> 1=1NISI-IED FLOOR LLCVATIONS. �LOOD ZONCAREA . <br /> T3UIL�CR � ' G���� COMPANY ,(,tz-/1/"' Cf � , <br /> SIGNATURC , (2GGISTERED Y I N PEH CURRCNT Y/N <br /> Adrlross �c�7� � /� ��- I" f ' ' . Licanso�f <br /> C�GCTRICIAN • COMPANY <br /> SIGNATURC REGIS7ERG� �Y/ N f EH CURRCN'C Y/N <br /> . ' • L1C01150� <br /> Acldres� • <br /> PL.UMaCR • � COM1'AIVY <br /> SI�NA'I'llRC RCGISTERED Y/ N. FG�curtReNr Y/N <br /> � Licanso# � <br /> Acldross <br /> MCCI-IANICAL ' • ' COMPAIIY <br /> 51GNATURC • REGISTCRE� Y/ N f'E8 CURI�[NT Y/N <br /> ' .License�/t� <br /> Adciress ' • <br /> OThIGR • � . COMPANY ' . . <br /> SIGNATURC RCCISTcI�� ' Y/ N FEG CURRGNT Y/N <br /> • � ' License# <br /> Acldress ' - <br /> .RC5ID�NTIAL Attach(2)f'lot'Plans;(2)sots of Bulldin�]Plans;(9)se[of Enorc�y 1=orms;R-O-W Permi[for new construction, <br /> Minimum ten(10)wori<in�days afEer submittal clate. Required onsite,CapslrucGon Pl�ns,Stormwalor Plans w/Silt f-'enoe fnstalied, <br /> Sanitary f=acilitlos&1 clumps�er;Sito Worlt Permifi for subclivisiansflargeµrojecLs <br /> COMMCRCIAC Attacli(3)complofie sets oi Buflding Pfans plUs a Life Safely Pago;(1)sel•ofi Enerc�y.'1=orms.R-Q-W Permlt for new conshvction. <br /> Minimum len(10)worlcing days after submitlal date. Rec7uired onslt�,Construction Pfans,Stormwater Plans w!Silt Ponco fnstallad, <br /> Sanitary f-acilifiies&1 dum�ster.SiEo Woric Pormil'for all new projects.All commercial roquiraments must meel complianco <br /> ' S(GN PCRMIT Attach(2)sets of Engtneored Plans.� - , <br /> ***tpRpl'ER'fY SURVEY roquirecl for alt NL-W construction. <br /> -1-1-1-I-I-I-1,-FFM-I-1-I-l-I-l-1-1-I-I-FI-i-I-i-1-1-I-1-1-1-19-hl-M-hl-1-I-I-1-1-1-I-1-H-f-hhl-J-I-1-hl-1-I-hl-hH-I-I-I-I-I-1•I-f-I-1-1-I-1-1-1-I-I-I-FI-I-I-I-I-I-1-1-I-hl-1-I-I-I-I-I-1-I-I-I-1-I-1-1-I-I-l-H-1-h1-1-1-l-�-1-I-1-(-I-1-I-I-1-I-1-I-hl-hl-hld-f-t-hi-I <br /> Dlroc[ions: . . , <br /> Fiil out a�pl(catlon completely. , , <br /> Ownar&Con[raclor sfc�n Uacic oi applicaiion,notarized <br /> If over�2500,a Nofice oT Gommencement is roquirod. (A1C u�c�rades ov�r:G5000) <br /> ** Agonk(for the co,ntracEor)or Power of AL•tomoy(�For the owner)would bo someone wf[h notarized letler�From owner authorizing samo <br /> •OVCR TI-IE COUNTCR t'GRMITTING (Fronl o�f Applicatfon Only) . <br /> Reroofs ' Sewors Sorvice.Upgrados A!C 1=onc�s(f'IoUSurvey/1=ootage) <br /> Llriv�ways-Nol over Counter ifi on public roadways.:n�eds ROW <br />